John Burke Eitzen LLMSW, PH.D.

NPI 1659600401 - Social Worker - 1041C0700X

NPI Details
NPI 1659600401
Gender Male
Enumeration Date 12/08/2009
Last Updated 12/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
156 CHARTIER
#2
MARINE CITY MI, 48039-2344, US
Phone (810) 765-3919
Fax
Business Location
156 CHARTIER
#2
MARINE CITY MI, 48039-2344, US
Phone (810) 765-3919
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801091557
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According to our database, Dr. John Burke Eitzen LLMSW, PH.D. NPI is 1659600401, taxonomy code is 1041C0700X and license number is 6801091557, license state is located at Michigan. John Burke Eitzen LLMSW, PH.D. physically located at 156 Chartier, Marine City MI, 48039-2344. NPI Number John Burke Eitzen LLMSW, PH.D. has the Individual type.

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1659600401 NPI number is provided on an as is basis without warranty of any kind. 1659600401 is maintained by the National Plan & Provider Enumeration System. The contents of John Burke Eitzen LLMSW, PH.D. are for informational purposes only.